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HomeMy WebLinkAbout305 N Eunice St - Building t c CERTIFICATE 'E U PA N CY City of CitPOit Angeles =';Ouildiilg,Division This certificate is issulpursuant to the requirements of Section ILL'Ofille 2009 International Building Code certifying that at this structure was in compliance with the various ordinances of the City regulatingibifilding'CO`nSteuet011,,or:usefor the folleialik Business name: Y Banbury Corrfes Paycar.0 Business address: 305 N Eunice Street 4 ,..0, v ,4,:" ,,V"-, s 4 dpivwff, ;1 11, 0 t Property owner: :41 'f,I.:*p ''',eq't f ;',.'',1, q3;? V 9 V 2 ii1 W An g e l e s, 14 *A fr diiStP Property owner 's PO Box -0 i vi'ciZN'6 Automatic fire sprinmer.fsystem: NotzReguired&2±,z,,....i,:,,-2z.A.'rhse4-4 Use occupancy elaSsification: Educational Building permit number" t,.:, 12-995 s--,. Nx a Tr 7 7,- l'emmwm7,7smc$7 Y Occupant load: -i. Rer„2009 IBC; Table10041:41!.,,,, -4A i. Type of construction: V-Bttovmkzigzrr7-V-t:iK- _f itreA7AfTi 4 8-3-12 q Sue'Rbibrds,t,'.saldn, l,g4Mahaddr Date ,I Post on the premises in a conspicuous place. This certificate shall not be removed except by the Building Official. l.. -lk soir,, CERTIFICATE OF OCCUPANCY APPLICATION Permit (2 "11 Atago— FEES tI CITY OF PORT ANGELES 5 Certificate Inspection Attn: Permit Technician N INIMPOP r 321 E. Fifth St., Port Angeles, WA 98362 00 Parking Business Improvement Area (PBIA) (360) 417 4815 fax (360) 417 4711 0 pc fee charged for Downtown locations PLEASE PRINT IN INK 0 LI 5 0 05 13 Lo J UO Check one: New business in P.A. Change of ownership only? X Moving location from within P.A.? Zoning R.,.51' BUSINESS NAME N 9 bt ry r 11Y ryC r 7 ta rI d- Pce 5C Loa 1 Business address 3 S (✓u n.l. '-�P"Mailing address D5 IV F: IA n i Phone number 3(e0 I q Vg Opening date fl/i/ Days hours of operation L445 r 1,1),- Business owner's name 1- i e_kico.i .S Contact phone 3440 `7th -LeAI 1 Business owner's address J�j -f LI�el Lit..r,_t-- p pL j k I /I Brief description of business h 11tle.4.A.e 0.L -rl' hnfr j asp s "'i y rS Property owner's name L nta-c phone F I 6 S' Property owner's address /contact 1*'? PLCT1'yMti> .111. .6 '1P C. h a ry c F0 Lax 2—'41' Por --r.�- 1( "i tk 61 s'/-)Lc) d BUILDING DEPARTMENT phone 417 -4815 Bldg approval b y on Is the business a restaurant or bar that will seat 50 or more people? Yes No Construction changes planned (moving walls, adding /enlarging windows or doors, roofing, siding, foundation work, adding /altering stairways, ramps, bathrooms, electrical, heating /cooling /ventilation systems, etc). Work planned: FIRE DEPARTMENT phone 417 -4653 Fire approval by on Changes to a fire sprinkler system or fire alarm system? Yes Not Work planned: PBIA (Parking Business Improvement Area Downtown) phone 417 -4623 Square footage of business? PBIA notified on Is business moving within the PBIA? Yes N -/1... CITY CLERK phone 417 -4634 City Clerk approval by on Second -hand dealer /pawnbroker business? Yes No Will there be dancing at this business? Yes Nt A City of Port Angeles Business License is required for: Taxi, Peddlers, Second -Hand Dealer, Pawnbroker, Dance, Hotel Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 COMMUNITY 8 ECONOMIC DEVELOPMENT phone 417 4750 CED approval by on Number of off street parking spaces available for employees and customers? (A parking plan may be required.) Signs? (wall- mounted, freestanding, projecting, awning, A- frame, etc Signs planned: 0—° PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PWE approval by on PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417 4812 Is site work planned (new or re- located sewer or water service, excavation, grading or filling, in City right -of -way, new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes No Work planned: C� PUBLIC WORKS WASTEWATER phone 417 -4845 Pwwapproval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes No If yes, what will be discharged: Call for Certificate of Occupancy inspections BEFORE opening buReC E1VED Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 AUG 3 2012 Please sign up for utility services at the cashiers' counter. CITY OF PORT ANGELES BUILDING DIVISION hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. Incorrect information may rein revocation of permit. 3 P rint Name r A Date �l IM F^I` Signatur�'��,� lI T: \Forms \Building Division\Certificate of Occupancy Application (2010).doc Page 2 of 2 Application desc Heat pump no load change Owner Contractor INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Application Number 10 00001214 Application pin number 839642 Property Address 305 N EUNICE ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 3650 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 GARY D CHILDERS ALL WEATHER HTG COOLING INC PO BOX 247 302 KEMP ST �J� PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 928 3883 (360) 452 9813 Permit ELECTRICAL ALTER COMMERCIAL Cr Additional desc Permit pin number 175851 Permit Fee 112 00 Plan Check Fee 00 Issue Date 10/20/10 Valuation 0 Expiration Date 4/18/11 L Qty Unit Charge Per Extension 2 00 56 0000 ECH EL LVT THERMOSTAT 112 00 Fee summary Charged Paid Credited Due Permit Fee Total 112 00 112 00 00 00 Plan Check Total 00 00 00 00 Grand Total 112 00 112 00 00 00 T DATE. a'z1t /!a Date 10/20/10 RESULTS INSPECTOR. REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Signature of owner or Electrical Contractor X Date. Date Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL A HEAT PUMP Owner GARY D CHILDERS PO BOX 247 PORT ANGELES (360) 928 3883 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 14 8000 EA T.Forms /Building Division /Building Permit WA 98362 MECHANICAL PERMIT INSTALL A HEAT PUMP 175778 64 80 10/19/10 4/17/11 Per Charged 64 80 00 64 80 10 00001209 902308 305 N EUNICE ST 06 30 00 5 1 3650 0000 GARY D CHILDERS MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 12360 Contractor ALL WEATHER HTG COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 9813 Plan Check Fee 00 Valuation 0 BASE FEE ME FURN /HP /FAU OR 5 TON Paid Credited 64 80 00 00 00 64 80 00 Date 10/19/10 Due Extension 50 00 14 80 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction !d //o SecAr.. AAcGown jeo,_.. Print Name Signature of Contractor or Authorized Agent REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Signature of Owner (if owner is builder) Inspection Type FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T.Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Date Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Accepted By Comments FINAL Date Accepted by FINAL Date PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 1 ESA. Landscaping 1 1 SHORELINE. O g Ac c O pted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By 3 z- PREPARED 11/08/10 8 08 48 CITY OF PORT ANGELES ADDRESS TENANT NBR CONTRACTOR OWNER PARCEL APPL NUMBER 305 N EUNICE ST GARY D CHILDERS ALL WEATHER HTG COOLING INC GARY D CHILDERS 06 30 00 5 1 3650 0000 10 00001209 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 11/08/10 J,,L INSPECTION TICKET INSPECTOR JAMES LIERLY SUBDIV COMMENTS AND NOTES PHONE (360) 452 9813 PHONE (360) 928 3883 MECHANICAL FINAL TIME 01 00 November 5 2010 1 36 48 PM permits JANE-CHILDERS (BANBURY CORNER DAY CARE 808 3105) MECHANICAL FINAL "HEAT"PUMP SHE REQUESTED AN INSPECTION SPECIFICALLY BETWEEN 1 00 1 30 PM FOR THE LEAST IMPACT TO THE CHILDREN PAGE 2 DATE 11/08/10 SPe-- 3Cr\t\ D&c+-- OR\ Applicant \OMVIVY Property ,...y),ne. Property Owner's Address Contractor Contractor's Address License PL1.■bFk erect TI Brief Description: Check all that apply a New Construction 4ddition ^Remodel Repair a Demolition o Re -roof )214►leat System o Other Floor Areas Basement 1 Floor 2" Floor 3 Floor Garage Carport Covered Porch Deck Shed Other t70 /ZO 39vd BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 PROJECT ADDRE 'EkJ1\ ce %t Parcel Number Lot l Existing (so. ft.) o Residential Proposed (so. ft.Z For City Use Only Date Received 10 Permit# 1Ls Date Approved Phone O Phone to0 DIbZ$ R Phone 30K) U3 E -mail alar.e.Nficn CAY) Zoning a Multi- family Commercial o Industrial o tear off re -roof o lay over one layer Q House o garage o other A3ieat pump wood burning stove o gas fireplace o pellet stove o other per sq. ft. .1 TOTAL VALUATION bl A(t) Total footprint of structures sq. ft Lot size sq. ft. Lot coverage yo Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94 135 for exemptions) Site coverage of bedrooms of full baths of half baths Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will afire sprinkler system be installed? Construction type I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to acing on projects. Date ‘011"61 Print Name P Y \Y Signatur T:Forma/Building Olvlsion/Bldg lermit.doc 9NI1v3H a3H1v3M 11C LLTSZSV09ET 8E LO 0T0Z /6T /0T Clallam County Assessor Treasurer Property Details 61616 GARY D CHILDERS f Page 1 of 5 Clallam County Assessor Treasurer Property Search Results 61616 GARY D CHILDERS for Year 2010 2011 Property Account Property ID 61616 Legal Description. SMITH NORMAN R LTS 10- 12 &W2 LT 13 BL 36 SURVEY V24 P41 Geographic ID 0630005136500000 Agent Code Type Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 68 Open Space N DFL N Historic Property' N Remodel Property N Multi- Family Redevelopment: N Township Section Range. Location 0 I Address: 305 N EUNICE ST Mapsco `/Y PORT ANGELES WA p y4-0-) Neighborhood. Cycle 5 Comm Map ID 2 Neighborhood CD 20953140 Owner Name GARY D CHILDERS Owner ID 17977 Mailing Address. PO BOX 247 Ownership 100 0000000000% PORT ANGELES WA 98362 Exemptions. Taxes and Assessment) Details Property Tax Information as of 10/19/2010 Amount Due if Paid on 7 1. Year Statement ID Taxing Jurisdiction i 2010 44319 ST SCH STATE SCHOOL 2010 44319 CC 1 GEN COUNTY 2010 44319 PORT PORT 2010 44319 PORT ANG PORT ANGELES 2010 44319 SD #121 SCHOOL DISTRICT #121 2010 44319 NTH OLY LIB NORTH OLYMPIC LIBRARY 2010 44319 HOSP #2 HOSPITAL #2 2010 44319 WSNIET PK DIST WILLIAM SHORE MET PARK DIST 2010 44319 CITY STORMWATER CITY STORMWATER 2010 44319 WEED CONTROL WEED CONTROL 2010 44319 TOTAL. 2009 616162008 ST SCH STATE SCHOOL 2009 616162008 CC JGEN COUNTY 2009 616162008 PO T PORT 2009 616162008 P0I12T ANG PORT ANGELES NOTE If you plan to submit payment on a future date make sure you enter the click RECALCULATE to obtain the correct total amount due First Second Half I Half Base Base Amt. Amt. Penalty Interest Base Paid $530 43 $530 43 $0 00 $0 00 $1060 86 $282.27 $282.28 $0 00 $0 00 $564 55 $39 68 $39 67 $0 00 $0 00 $79 35 $653 57 $653.56 $0 00 $0 00 $1307 13 $687 06 $687 04 $0 00 $0 00 $1374 10 $82.02 $82 03 $0 00 $0 00 $164 05 $115 80 $115 80 $0 00 $0 00 $231 60 $36 84 $36 85 $0 00 $0 00 $73 69 $100 70 $100 69 $0 00 $0 00 $201 39 $0 82 $0 81 $0 00 $0 00 $1 63 $252919$252916 $0.00 $0.00 $5058.35 $619 03 $619 02 $0 00 $0 00 $1238 05 $313.29 $313.27 $0 00 $0 00 $626 56 $44 38 $44 37 $0 00 $0 00 $88 75 $687 16 $687 15 $0 00 $0 00 $1374 31 http. /vpn.clallam.net•8 i 84/ propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =6 10/19/2010 City of Port Angeles Permit Ap �lication Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (3601417.44735 Fax: (360) 417.4711 Date: 101 N10 1 2 Single Family Dwelling Multi Family or Commercial' X Commercial Addition I Alteration l/ Remodel Repair` Plan Review a Be Req Ired Please Complaie Electrical Plan Review Information Sheet Job Address: At Building Square Footage: 1 x!'111 C) Description of above V \Q p \k O \1V71 k Ca Unit Ghana 93.75 $113.75 $160.00 $205,00 $291.25 2,00 57.50 2.00 72.50 86.25 $11625 $131.25 75.00 69.00 75.00 50.00 50.00 93,75 80,00 86.25 27.50 57.50 86.25 43.75 b0 /b0 39od Owner I fggg�mm I� o Name: J J..1(lS� Mailin' Address: 1� City Phone: License Exp. State: wily- Zip: l'Z Fax: 9NI1C3H d3H1v3M 11u J .-f a) ccf n 476.7 EL ECTRICAL IN SPECTIONS Contractor Informma_ Name :0111 1vt Ja1 4C t X01 vim Maili Address: _.3.2. City' it ti ll ra .a State: W:p Zi p: `'i� 'SUt 2 Phone: Fax: License Exp.. C 1 5 1 Total (Otv Multiplied by Unit Charnel ServicelFeeder,200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit WI Service Feeder Branch Circuit WIO Service Feeder Each Additional Branch Circuit S Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201.400 Amp. Temp. Service /Feeder 401 -600 Amp, Temp. Service/Feeder 601 -1000 Amp, Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi- Femlly Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Si Thermostat Total Owner as defined byRCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit Is finalized. (2) Owner Is required to hire an electrical contractor if above said properly is for sale, rent or lease. After reading the above statement, I hereby certify that f am the owner of the above named property or a licensed electrical contractor. tam making the electrical Installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specttications. Signature of owner, electrical contractor or electrical administrator Cash f Check Date: t lJ Credit Card 1Z LLISZ5h09ET BE L0 0T9Z /6Z /OZ '""~II $~d~'<i DB '\.;jr..~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ,21 EAST 5TH STREET. PORT ANGELES. WA 98,62 I ELECTRICAL PERMIT I I OWNER/APPLICANT I IilANBURY CORNER DAYCARE I i1lO5 N. EUNICE I ~ort Angeles, WA 98362 :3601000-0000 I T: I CONliTRACTOR ELECTRIC SERVICE p24 DRAPER RD. IPORT ANGELES, WA 98362 ~t60/452-6424 PROUECT INFO Project Type: COML. MISC. Occupancy Type: (i'ccupancy Group: 'Iectrical Heat: D Baseboard D Furnace D Heat Pump D Fan Wall PERMIT NO 6821 ISSUED: 12/21/1999 S: PROPERTY LOCATION 305 EUNICE N Lot: Block: Subdivision: Parcel No: D Long Legal' ARCHITECT N/A , 98360-0000 360/000-0000 Project Value: $0.00 Construction Type: ADD CIRCUITS Zoning Use: o KW o KW o KW o KW o Riser 0 o Overhead Service o Temp Service Underground Service Voltage: 0 Phase: D 1 D 3 Service Size: 0 Feeder Size: 0 PRO I ECT NOTES WI . E TWO SUMP PUMP SYSTEMS FEE ASSESSMENT Service: Additional Feeders: Circuit Wiring: Temp Service: Mise Fee: TOTAL FEE: AMOUNT PAID: BALANCE DUE: COMMbNTS/ACTION NEEDED $54.00 $0.00 $0.00 $0.00 $0.00 $54.00 $54.00 $0.00 ELECTRICAL PERMIT INSPECTION RECORD CALL 4 17-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVEll, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEFI'ED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO ~UUH-IN I t:lKYlCb 1i7/1.(/9Q I \1 . GENERAL COMMENTS, PW-II02.U(4'96J . . . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. .:?~cPJ 7;'~ffL DATE ELECTRICAL PERMIT , I SitJ Address: I Installed By: I Owner/Business: I Owner/Business Address: I I o RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW o FAN/WALL KW o ~EAT PUMP KW o SIGN DetLslDescriPtion: I , I ~I I ~I I W.S. No. I CAP.ACITY: I 0 O.K. NOT O.K. A110N REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE I I o !Ditch Inspection O.K. I III ~ough-in/cover O.K. o 0.K. to connect service ~ ~inal O.K. o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: .;]O~ Phone: c Sq. Ft. o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR ~ SPECIAL EQUIPMENT (LIST BELOW) o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS Fr~[ A-(~ I -zPA.) L SERVICE SIZE DATE ENGR. o CHANGE SERVICE WIRE o OTHER Permit/Receipt No. ..:? (p cf J New Meters G I Notify Port Angeles City Light by Street Addres and Permit Number when ready for inspection. Work must not e covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. ..v 1 "If NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /T' . -, / &0 I 194<1 $ 0<: I WHITE - File by address I OLy!e PRINTERS INC. Electrical Inspector Permit Fee YELLOW - file by number PINK - Top: Eng, Bottom. Customer GREEN - Top: Meter Dept.. Bottom: City Hall o rDitch Inspection O.K. ~;a+oUgh-in/cover O.K. ~ )tJ o/.K. to connect service ~rnal O.K. Sil~ Address: I I Installer: I "","" . . . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. 008z.... ;;;,4;hc: DATE ELECTRICAL PERMIT Sit~ Address: ~OS" Ins ailed By: m r I .coO' Owner/Business: o READY FOR INSPECTION license Number: o WILL CALL FOR INSPECTION Phone: (I). .E4A C*1--U_ Phone: Owner/Business Address: Sq. Ft. o aESIDENTIAL WCOMMERCIAL o BASEBOARD KW _ o FURNACE KW ~ o FAN/WALL KW _ o ~EAT PUMP KW ~ o SIGN I I DetailslDescription: I I -e:rOVERHEAD SERVICE o UNDERGROU~~aVICE VOLTAGE: /~ U ~INGLE PHA E o THREE PHASE SERVICE SIZE ;;JOZO AMPS o TEMPORARY SERVICE kH'ERMANENT SERVICE ~EW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) ,//h:uJ L1; ('~L /0 1::.0 ~Ik-{J /0 K t.-U /j. ,;:? I I -I w.~. No. I CAPACITY: I 0 O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER I 0 INSTALL SERVICE POLE I SERVICE SIZE DATE ENGR. o CHANGE SERVICE WIRE o OTHER Permit/Receipt No. .:Jt-rf'Z- z: t Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered , befllJre inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. i ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ,11/00 JJ!! I ~leClricallnspeClor Permit Fee WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall I OLYM11C PRINTERS INC ----. - .. -.------ . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. 3 t c?-3 ~ ////f z- . DATE ELECTRICAL PERMIT In51alled By: :3 OS 13010' E. I/J, z:kc. /c CtfJ4/ o READY FOR INSPECfION License Number: o WILL CALL FOR INSPECTION Phone: SitJ Address: : Owner/Business: ! Phone: Owner/Business Address: I Sq. Ft. o RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW_ o $IGN M TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) ~ OVERHEAD SERVICE o UNDERGROUN.?1ERVICE VOLTAGE: /?~ <;/0 IO-811IIGLE PHAS o THREE PHASE SERVICE SIZE ::::r-.~ AMPS DetailslDescription: . I W.S. No. SERVICE SIZE CAPACITY: ! 0 O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER , I 0 INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o 'Pitch Inspection O.K. o Rough-in/cover O.K. o O.K. to connect service /1hlfinaIO.K. Installer: Permit/Receipt No. O~ Date: S- It fc . Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered befpre inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. : ~ D1/V\ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ (JQ d(t)- Eleclricallnspector Permit Fee WHliTE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: MeIer Dept., Bottom: City Hall OLYMpIC PRINTERS ING.